Individual
MRS. ALICIA JO MARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 COON RAPIDS BLVD NW STE 200, COON RAPIDS, MN 55433-5645
(763) 767-0854
Mailing address
622 180TH LN NE, HAM LAKE, MN 55304-1015
(763) 432-2484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103189
MN
Other
Enumeration date
04/12/2007
Last updated
11/14/2011
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